Billing Specialist - Healthcare Claims

Core-VA Solutions is a virtual support agency that partners with healthcare providers across the U.S. to streamline their administrative and billing operations. We are currently hiring a Billing Specialist with experience in handling state-funded healthcare claims. This role is ideal for someone highly organized, detail-oriented, and confident in managing end-to-end billing processes remotely.

Position Overview

The Billing Assistant Specialist will be responsible for ensuring accurate and timely claim submissions, following up on unpaid claims, and supporting all aspects of the billing cycle for state-funded insurance programs. The ideal candidate must have a solid understanding of healthcare billing practices and experience working with U.S. clients.

Key Responsibilities

• Submit and monitor claims to state-funded insurance programs, ensuring compliance with payer and client requirements.
• Review billing information, validate supporting documentation, and ensure claims are accurate and complete.
• Handle claim denials and rejections by investigating issues, correcting errors, and resubmitting or appealing as necessary.
• Communicate with clients, internal teams, and insurance entities to resolve billing discrepancies.
• Post payments and reconcile accounts to maintain accurate financial records.
• Generate and review billing reports to track performance and identify trends or issues.
• Maintain strict confidentiality of all client and patient data in accordance with HIPAA and company policies.

Qualifications

• Minimum of 2 years of hands-on experience in healthcare billing for U.S.-based clients, specifically involving state-funded claims submission, denial resolution, and payment reconciliation.
• Strong working knowledge of claims management systems and electronic billing platforms.
• Proficiency in Microsoft Office tools (Excel, Word, Outlook).
• Proven proficiency in using billing and claims management platform (e.g., AdvancedMD, Availity, EPIC, Tebra, TMHP, etc.).
• Clear and professional written and verbal communication skills for both internal and external coordination.
• Strong email management skills, including drafting professional responses, organizing billing correspondence, and following up on outstanding claims or issues.
• Ability to interpret basic medical codes (ICD, CPT, HCPCS) and payer-specific billing rules.
• Excellent attention to detail and ability to manage multiple tasks and deadlines.
• Strong analytical, problem-solving, and communication skills.
• High level of integrity and commitment to confidentiality, data privacy, and HIPAA compliance.
• Ability to work independently in a remote setting.

Preferred Education

• Bachelor’s degree in Business Administration, Healthcare Management, or a related field (preferred but not required).

What we Offer:

• Starting rate: $7/hour (based on experience and qualifications)
• 100% remote / work-from-home setup
• Paid training and support system to help you gain confidence before working independently
• A collaborative, respectful work environment — we value trust, autonomy, and open communication over micromanagement
• Long-term opportunity